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NPI Code Detail

MEDICARE: LALITA REGINA CHEAHTAM

MEDICARE: LALITA REGINA CHEAHTAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041278848IL

General Provider Information

NPI Number : 1477496594
Entity Type Code : Individual
Provider Name (Legal Business Name) : LALITA REGINA CHEAHTAM
Provider Business Mailing Address
First Line : 7731 S HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60620-2412
Country : US
Telephone Number : 773-962-3701
Fax Number : 312-569-7031
Provider Business Practice Location Address
First Line : 7731 S HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60620-2412
Country : US
Telephone Number : 773-962-3701
Fax Number : 312-569-7031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ LALITA REGINA CHEAHTAM ” Practice Location

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